Avp Physical Therapy and Associates, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011344 Issued in GA

Legal business name

AVP PHYSICAL THERAPY AND ASSOCIATES, INC.

Practice address

1625 Drew Dr NW
Atlanta, GA 30318-4099

Phone

(205) 705-4189

NPI assigned

Nov 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Antonio Vashawn Pruitt, PT,DPT,MPA

Title

Owner/ Ceo

Phone

(205) 705-4189

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1043684392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 DREW DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184099",
            "telephone_number": "205-705-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DREW DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184099",
            "telephone_number": "205-705-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVP PHYSICAL THERAPY AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "VASHAWN",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "205-705-4189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,MPA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnda Avery
• Shontrice Renea Avery, LMSW
• Andrea Avila, CPNP-PC
• Jesus E Aviles, ATC
• Precious Avorkliyah-Evans, LCSW
• Bindi Avrett
• Nandini Avula
• Christopher Awad
• Eric Adrian Awad, MD
• Erica Awalt

• All providers in Atlanta, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.